A case of omental infarction successfully managed with conservative treatment.
- Author:
Seok Jin YOON
1
;
Young Dae PARK
;
Yoon Jin CHUNG
;
Se Young LEE
;
Eun Soo KIM
;
Soo Young PARK
;
Seong Woo JEON
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. swjeon@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Acute abdomen;
Omentum;
Infarction
- MeSH:
Abdomen, Acute;
Abdominal Pain;
Analgesics;
Anti-Bacterial Agents;
Appendicitis;
Female;
Follow-Up Studies;
Humans;
Infarction;
Middle Aged;
Omentum
- From:Korean Journal of Medicine
2009;77(Suppl 1):S36-S40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infarction of the greater omentum is an uncommon cause of acute abdominal pain, usually diagnosed during surgery for suspected appendicitis. However, during the last decade, preoperatively diagnosed omental infarctions successfully managed with conservative treatments have been increasingly identified with expanded utilization and technical advancements of sonography and computed tomography (CT). We report a case of omental infarction in a middle aged woman. Diagnosis was confirmed by abdominal CT, and she was successfully managed with conservative treatments including analgesics and prophylactic antibiotics. Follow-up CT performed 14 days after discharge revealed a decrease of infarct area without any intra-abdominal complications. This report emphasizes that nonoperative management of omental infarction may be safe and effective in most cases.
